| NPI | 1760848568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KENT WEAVER Owner/CEO 865-777-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TN 0000001044) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |